Quality Gaps in Management of Acute Pancreatitis: A Tertiary Care Center Experience

Nabeeha Mohy-Ud-Din; Ivana Deyl; Shifa Umar; Heitham Abdul-Baki; Suzanne Morrissey

doi:10.1097/MPA.0000000000001811

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Quality Gaps in Management of Acute Pancreatitis: A Tertiary Care Center Experience

Journal article

Peer reviewed

Quality Gaps in Management of Acute Pancreatitis: A Tertiary Care Center Experience

Nabeeha Mohy-Ud-Din, Ivana Deyl, Shifa Umar, Heitham Abdul-Baki and Suzanne Morrissey

Pancreas, v 50(4), pp 544-548

01 Apr 2021

DOI: https://doi.org/10.1097/MPA.0000000000001811

PMID: 33939667

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Abstract

Acute Disease

Adult

Aged

Anti-Bacterial Agents - therapeutic use

C-Reactive Protein - metabolism

Female

Fluid Therapy - methods

Fluid Therapy - statistics & numerical data

Guideline Adherence - statistics & numerical data

Hospitals, Teaching - statistics & numerical data

Humans

Length of Stay - statistics & numerical data

Male

Middle Aged

Pancreatitis - diagnosis

Pancreatitis - surgery

Pancreatitis - therapy

Patient Admission - statistics & numerical data

Practice Guidelines as Topic - standards

Retrospective Studies

Tertiary Care Centers - statistics & numerical data

Tomography, X-Ray Computed - methods

Acute pancreatitis (AP) is a leading cause of inpatient care among gastrointestinal conditions. Our study compares the management of AP and adherence to guidelines among teaching medicine, nonteaching medicine, and surgical services within the same center. We performed a retrospective chart review of AP patients admitted to our center between January 2016 and January 2017 and analyzed the clinical and epidemiological data. Of 115 patients, 65% were admitted to medicine (IM), and 35% were admitted to surgery. Mean age was 53.9 (standard deviation [SD], 15) years, and 52% were males; 38.6% (n = 29) of IM patients were prescribed lactated Ringer's solution for fluid resuscitation (mean rate of 153 [SD, 44.98] mL/h on teaching and 113 [SD, 43.56] mL/h on the nonteaching service). Antibiotics were prescribed to 22.6% (n = 17) of IM patients. On the surgical service, 77.5% of patients were prescribed lactated Ringer's solution for fluid resuscitation (mean rate of 108.25 [SD, 1.19] mL/h); 52.5% of patients received antibiotics. Adherence to guidelines for management of AP is inadequate, and nonuniformity exists across different services within the same institution. There is a need for quality improvement initiatives.

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Title: Quality Gaps in Management of Acute Pancreatitis: A Tertiary Care Center Experience
Creators: Nabeeha Mohy-Ud-Din - From the Medicine Institute
Ivana Deyl - From the Medicine Institute
Shifa Umar - Allegheny Health Network
Heitham Abdul-Baki - Allegheny Health Network
Suzanne Morrissey - Allegheny Health Network
Publication Details: Pancreas, v 50(4), pp 544-548
Resource Type: Journal article
Language: English
Academic Unit: General Internal Medicine
Web of Science ID: WOS:000648522600013
Scopus ID: 2-s2.0-85105335122
Other Identifier: 991022076698604721

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Web of Science research areas: Gastroenterology & Hepatology

Quality Gaps in Management of Acute Pancreatitis: A Tertiary Care Center Experience

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Abstract

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Details

UN Sustainable Development Goals (SDGs)

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